Periodontal Disease
(Gum Disease)
What my patients love most about periodontal treatment?
1. Less bleeding and healthier gums
2. Fresh breath
3. Reduced pain from inflamed gums
What my patients dislike most about periodontal treatment?
1. Deep root cleaning can be uncomfortable and local anesthetic often needed
2. The treatment may need multiple appointments
3. There is potential for sensitivity after the treatment
4. Compliance and at home life style changes are often needed for long term success
If you have any of the following problems, you may have gum disease:
* Bad breath
* Swollen gums
* Discomfort
* Bleeding gums
* Irritated or itchy gums
* Loose teeth
* Receding gums
What happens if at an assessment appointment I feel you may have Periodontist:
I will use an instrument called the periodontal probe to assess the depth of gaps between your teeth and gums (pockets). I will further examine and record any gum bleeding, plaque, and tartar levels, and X-rays may be necessary to evaluate your teeth and jawbone.
For periodontitis or acute necrotising ulcerative gingivitis (ANUG), root planing may be recommended. This procedure involves removing plaque, tartar, and damaged tooth covering. Local anesthesia may be used for comfort, ensuring you don't feel sensations during the process. This can be done by my self or with our highly skilled dental hygienists who will follow my recommendations and treatment plan.
In severe infections, antibiotic treatment might be advised, and an antiseptic mouthwash could be suggested by us to inhibit bacterial growth. However, it's essential to note that mouthwash alone can't eliminate existing plaque, requiring brushing or professional removal by a hygienist.
If advanced periodontitis persists despite other treatments, I may refer you to a periodontist (gum specialist) for gum surgery.
What treatments are available for gum disease?
The treatment for gum disease, or periodontal disease, depends on its severity. Common treatments include:
1. Scaling and Root Planing: A deep cleaning procedure to remove plaque and tartar from above and below the gumline, promoting gum reattachment.
2. Antibiotics: Prescription antibiotics, either in pill form or applied topically, may be used to control infection.
3. Laser Therapy: Some dentists use lasers to remove infected tissue and promote healing.
4. Surgical Procedures: In advanced cases, surgical options such as flap surgery, bone or tissue grafts, and guided tissue regeneration may be considered.
5. Maintenance and Oral Hygiene: Ongoing home care with regular brushing, flossing, and antimicrobial mouthwashes is crucial for managing and preventing gum disease.
6. Professional Dental Cleanings: Regular dental check-ups and cleanings are essential for monitoring and maintaining oral health.
The specific treatment plan will be determined after the initial assessment and based on the severity of the gum disease and your individual needs. Early intervention and good oral hygiene practices are key to successful management.
What is the cause of bad breath (Halitosis)?
Bad breath, or halitosis, can have various causes. Common factors include:
1. Poor Oral Hygiene: Bacteria in the mouth break down food particles, releasing foul-smelling gases.
2. Gum Disease: Infections in the gums can produce bad odors.
3. Dry Mouth: Saliva helps cleanse the mouth, so a lack of it can lead to bad breath.
4. Diet: Certain foods like onions, garlic, and strong spices can contribute to bad breath.
5. Tobacco Products: Smoking or chewing tobacco can lead to persistent bad breath.
6. Medical Conditions: Some health issues, like respiratory infections, diabetes, or liver disease, can cause bad breath.
7. Dental Issues: Cavities, abscesses, or poorly fitting dental appliances can be sources of bad breath.
8. Crash Diets: Rapid weight loss diets can cause the body to break down fat, producing ketones that lead to bad breath.
Addressing the specific cause is crucial for effective treatment of bad breath.
Treating bad breath involves addressing the underlying cause. Common treatments include:
1. Improved Oral Hygiene: Regular brushing, flossing, and tongue cleaning can help remove bacteria and reduce bad breath.
2. Dental Check-ups: Addressing dental issues like cavities or gum disease is essential.
3. Hydration: Drinking plenty of water helps maintain saliva production, reducing dry mouth.
4. Avoiding Certain Foods: Limiting consumption of strong-smelling foods can help alleviate bad breath.
5. Tobacco Cessation: Quitting smoking or chewing tobacco can significantly improve breath odor.
6. Mouthwash: Antiseptic mouthwashes can help kill bacteria and freshen breath, but they are not a long-term solution.
7. Addressing Medical Conditions: Treating underlying health issues, such as respiratory infections or diabetes, can reduce bad breath.
8. Dietary Changes: Maintaining a balanced diet and avoiding crash diets can prevent the breakdown of fats that contribute to bad breath.
